Objective: To describe chiropractic care of a 2-year-old female with chronic otitis media, difficulty sleeping, irritability, skin sensitivities to clothes and being held or touched.

Clinical Features: A two year old female was brought into the office by her mother with complaints of chronic otitis media, inability to sleep through the night, and skin sensitivities/tactile hypersensitivity to clothes and touch. Medical doctors had diagnosed the patient with chronic ear infections and a fractured clavicle due to birth trauma. The patient also had episodes of temper tantrums and violence towards her older sister. Subluxations were detected in the cervical, dorsal, lumbar and sacroiliac region according to Activator Methods protocol.

Intervention and Outcomes: The patient received chiropractic care utilizing the Activator Methods Technique. After three adjustments the patient slept through the night for the first time. After four months of care she no longer had ear infections, she was consistently sleeping through the night, was less irritable, able to wear clothes without discomfort, and much more willing to hug and be held.

Conclusion: A positive outcome in a case of a two year old with chronic otitis media, sleeping difficulties, tactile hypersensitivity and vertebral subluxation is described. Research has shown a relationship between chronic ear infections and upper cervical subluxations as well as a relationship between upper cervical subluxations and sleeping difficulties. There is a need for further research to show the connection between vertebral subluxations, chronic otitis media, sleeping difficulties, and sensory integration.